Organization
UNIVERSAL SCREEN, INC
Active
Other names
Universal Screen, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY WILLIAMS GALLAMORE (PRESIDENT/CEO)
(931) 489-0045
Entity
Organization
Contact information
Practice address
2516 HOSPITALITY LN, COLUMBIA, TN 38401-0216
(931) 489-0045
(931) 489-0087
Mailing address
2516 HOSPITALITY LN, COLUMBIA, TN 38401-0216
(931) 489-0045
(931) 489-0087
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0081059
TN
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019909
—
TN
Enumeration date
01/29/2015
Last updated
12/20/2021
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